Dealing with risks in patient care
Quality management
Dr. Martina Kleinow
Leitung Qualitätsmanagement
Wolfratshauser Straße 109
81479 München
Phone:
0911
-959-1036
Mail:
ed.airam-ahtram@wonielk.anitram
Krankenhausleitungssitzung
Conference frequency: monatlich
Risk management
Martina Kleinow
Leitung Qualitätsmanagement
Wolfratshauser Straße 109
81479 München
Phone:
0911
-959-1036
Fax: 0911-959-1699
Mail:
ed.airam-ahtram@wonielk.anitram
Krankenhausleitungssitzung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA-Erstellung und Lenkung von Vorgabedokumenten innerhalb des Dokumentenmanagementsystems (14.12.2015) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA-Erstellung und Lenkung von Vorgabedokumenten innerhalb des Dokumentenmanagementsystems (14.12.2015) |
| RM06 |
Fall prophylaxis VA-Erstellung und Lenkung von Vorgabedokumenten innerhalb des Dokumentenmanagementsystems (14.12.2015) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA-Erstellung und Lenkung von Vorgabedokumenten innerhalb des Dokumentenmanagementsystems (14.12.2015) |
| RM08 |
Regulated handling of custodial measures VA-Erstellung und Lenkung von Vorgabedokumenten innerhalb des Dokumentenmanagementsystems (14.12.2015) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA-Erstellung und Lenkung von Vorgabedokumenten innerhalb des Dokumentenmanagementsystems (14.12.2015) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Thematik der Krankenhausleitungssitzungen: bspw. Regelung zur interdisziplinären Bettenbelegung
| No. | Explanation |
|---|---|
| IF02 |
Internal evaluation of the received reports taken monatlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |